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Death Certificate - Wagner, Shirley R_6/22/1976� �� j 'i-. i: . . .._ _ . 4`,L . `t 1' .. _. I. � � i .. . . . : ,t� � �.l�l '' ': i ' � `, � � t� �.� . �., . f! . '�. ' �:-.. . '. . . � .•f. (� 7 �'.?• LOCAL �CERTIFIED�. �.r. �' CITY-COUNTYIDEPARTAAENT OF HEALTH ,, ' , , �� RECO�iD �F DEATH ' �' . City of Evamville— V�nderburgh County; �� t��;g, �TQ �� -:: i� i�e. :i�:��:.�.-'.;.. . , i:• . Evane�iliq lodiaoa . . . " � 1�1 • . � ;J . . __. � . .�t:f. - :::it �. - �.i.'_ �.�:� � � � . y . . . � .. . . '�. ` •11^ �'tTh�s'is�[o Cert�fy that our records show_' ___________SHIRI!EY_� ��F� b'IiC�IER ��` ' ; � .ij�. � � . c I . . .. . � - . '�l . ;I : ,JUNE 13 � _ < 1976: : ' ;;-°j9 :l0 P.M St _ Mar`ys i4 � tlr � , :�i-.- imnnW�li -' �� dal •-i�i.--S<�.peerlt•_'t�jtpour ol Cee[E._' � -��i.i� �treet. bo�Ital.orC�art}.-� . s �- ��{'] i ^� �` ��! � � . �- ' . -. . 1 : _ 4� . ge . Wh � Married �� , ; :j�'-:: ,Age atdeath--- Sex_--------- Color----------- -- --- ---- --: •�'��i'� -�r.._. � 'fean� ^.�:(::_' , ^ ' . i . . . _'__ ___' wrice wb<ihet m''r'ed or un¢Ie �''e � ..: : . �... r. - -.•1 ,._�.: ;:.:..i. ..:.' ,. ..', . ' ('1 ' .1 `Encnary cause of �death given was + =nternal_.injuries __ crusheduchest _ _. t ; : '�t :. �'� � • r � : .. . � i - ,. - - - - ��. � . i � << • t� -' t�� _ l:jvehicle aceident� �� •. � �+I�'= '�,�:-- , - -- . , -'- .- ----- ; , =-- - =--- : ,u: :. �� - � - � � U �. �� , Signed by }� _�H:__`r:_ C9�S - - -- ---- '_C1tY -_-t �---- �` , .:{'...tt^..:•� •S.C�i'��iti.orcoroner' � li:: ' 1�:'""'li':C �ddra�Id . .- _,.._. ,: :.,. . . � , ��Place�df�bunal or removal__ � ��e2 _' ____ ____ JOhFi50�� InCj� - � __ - : � - n.me or aan tev � �� .ea.m � i -{1. ;( f ,. ��i � ;� '. . . . . . � e �E- : -�{' ..- Daie=of`b„rial_6_16_76 i__ Eolvim'�. ___�_________Princeton�_ Incj: __________ ' :� � . " . � .� . ��t .FLnenl Diveemzi � .. •�i .' Wdrm � ... . : : .' ' t. . . /� p . ' � , 1 ___'_ r .� Signed - r� C-•--�_"�-2��!_l�ILO, _�Reg�strar ,al `. e ` r�' Evnnsville; Indiana �� = __ 6 z l_ �6 , � r; ' ,, ` � [sEni ,t t! i �i.t _ � - V; 1 . . {r: aate . -� �:� .�j; N'OTE �Recorded�locally�in Book No � _ 41 _�'Page�A`o."'''. •-� 117 � � l -_,. �'T` F 1- ..i: . ... . . • - .. .� ._ . . � . . . . ��-.,�-. .._ . ..,''� . I.' '�� y � �t : ;,1':: � ' . 1. • i' �� '- � rf.i , ' ' `i. . . i, • i`� {-� � �� 'S �� ;�j. °� ... �1 . t. � .t. 'i, .'. +. �'': ` '�i r. � "` ''- oo'tI� - :.Y' �; � - ft` : i' :: ;i�,�:.., '�� ^': `� �;'.. !41�' ''.' �_i �:�;�, i�l �', � ��.� . ,� � � , . J,..'l..r':: ��.. ��, � .. � $2 00� � �r �;• . . � '. .i. " '�• . �...,_ . _,.,�'. �'.': . . . 'l�.. -. ", r . . . .4 .. ' � . ..�. _ .. . . . . . - . " . . . ... . ry. - _ � .